Organization Active NPI

Radiant Souls Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1104772698
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RADIANT SOULS PSYCHIATRY PLLC
Practice address
1438 Girard Blvd NE
Albuquerque, NM 87106-1821
Phone
(505) 308-8125
Fax
(505) 219-3830
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sabina Onwonga, PMHNP-BCNPI 1447826797
Title
Ceo
Phone
(505) 308-8125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1438 Girard Blvd NE
Albuquerque, NM 87106-1821

Mailing address

1438 Girard Blvd NE
Albuquerque, NM 87106-1821
Phone (505) 308-8125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1104772698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 GIRARD BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061821",
            "telephone_number": "505-308-8125",
            "fax_number": "505-219-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 GIRARD BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061821",
            "telephone_number": "505-308-8125",
            "fax_number": "505-219-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SOULS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "ONWONGA",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-308-8125",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.